Organization
FAMILY SUPPORT & TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY O'BANION MS, LCSW, RPT-S (ADMINISTRATIVE DIRECTOR)
(801) 229-1181
Entity
Organization
Contact information
Practice address
1255 N 1200 W, OREM, UT 84057-2445
(801) 229-1181
Mailing address
1255 N 1200 W, OREM, UT 84057-2445
(801) 229-1181
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7451638-3502
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788007788265
—
UT
Enumeration date
04/12/2010
Last updated
04/12/2010
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